Objective:To evaluate the clinical effects of vitrectomy on total retinal detachment in patients with retinopathy of prematurity (ROP). Methods:The clinical data of 73 eyes of 56 patients with total retinal detachment in ROP (stage 5) who had undergone vitrectomy were retrospectively analyzed. The age o f the patients when underwent the surgery was 384 months old with the average o f (13.02 plusmn;14.64) months. The gestation age ranged from 25 to 36 weeks with the average of (29.5 plusmn;2.22) weeks; the birth weight ranged from 900 to 2500 g wit h th e average of (1400.19 plusmn;300.05) g; the oxygeninhaling time ranged from 2 to 9 0 days with the average of (20.53 plusmn;18.91) days. The surgery included open vitr ectom y, closed lens extraction, and vitrectomy. The anatomical outcomes of retinal re attachment were categorized as success: macular reattachment; partial success: macular detachment; and failure: total retinal detachment.Results:After the operation, the anatomical outcome was succeed in 10 eyes (13.69%), partially succeed in 20 eyes (27.39%), and failed in 43 eyes (58.9%). The visual acuity was hand moving in 9 eyes (12.33%), and the grating acuity was better than 0.004 in 6 e yes (8.21%) after the surgery.Conclusions:The procedures of vitrectomy for retinal detachment in ROP is difficult, and the prognosis of the operative therapy is poor. After t he operation, only a few patients get retinal reattachment, and few have certain extent recovery of the visual acuity.
Citation： YIN Hong,LI Xiaoxin. Prognosis after vitreoretinal surgery for retinal detachment in patie nts with retinopathy of prematurity. Chinese Journal of Ocular Fundus Diseases, 2008, 24(1): 5-8. doi: Copy